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20121201
20121231
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English 27
Search Results 0 to 26 of about 27 (some duplicates have been removed)
a loss so vast. the aca is not just above the expansion of medicaid or establishing an insurance exchange, it is about the hundreds of federal mandates and procedural requirements that have the escaped public attention, but to which we by law must obey. the fine print of the legislation is so complex, even the federal government struggles to understand it. the states cannot fully understand the impact on finances, systems changes, and operations. this law completely overwhelms society's safety net for the needy. there are a few problems in pennsylvania created by the aca. the law mandates that we expand our provider enrollment system to check with their medicare data. medicare databases cannot handle automated changes. we will have to add staff resources to respond to 100,000 inquiries every month. we are mandated to create separate databases to accommodate is exchanges and some databases like the masterfile, we have not been given access to. we adopt past medicaid rules radically changing the tailor- made renewal system that took years to refine and perfect. the verification system will
is the creation of health care exchanges. now, let me explain. these aca exchanges are online marketplaces. in short, websites. the idea is to force insurance companies to play by the same rules and compete for a large pool of customers resulting in less expensive premiums for everyone. here's how it works. let's say you're one of the 50 million people in in country without health care. you're looking to get yourself covered. you'd log on to your state's exchange or call a hotline number. the goal is to shop around for whatever plan works best for you and your family. if you are living at 138% to 400% of the poverty line, that is a family of four living off an annual income of $31,809 to $92,200, then you are eligible for government money to subsidize the cost of your premium. if you're above that level, you don't get the federal subsidy. the law requires every state to have a place for people to shop for coverage. there are three options on how they are created and operated. >> first, states can set up and run their own exchanges or if they're not quite ready to tackle is on their own, st
that must be covered by any health plan offering a plan in the aca exchange. i understand this has far reaching consequences on premiums. benefits must be provided. according to the notice in the federal register, the rule was approved by administrator on august 1, 2012. that is three months before. yet the role did not receive approval from secretary sebillius until two weeks ago. what did it take two month for the administration staff to review -- and yet the public will have only four weeks to review during the period of public comment on the ruling issued on november 26? i would note this is a time of year when people's focus is generally on things other than long awaited rules. >> we put a bulletin on the essential health benefits quite some time ago and got comments on the bulletin. the public had an opportunity to provide public comment on essential health benefits before the proposed rule was put out. there were some changes from what had been in the bulletin, but by and large what is in the bulletin is what is a in the proposed rule. i think there has been ample opportunity fo
'll see a cut to health care. the -- plan to actually put the aca into place simply cannot go through with this plan. so we're talking about real cuts to folks' real lives. that's an important point of what's going on. >> fair enough. really more down the road. you heard ben jealous worry about that. let me just ask you -- >> the aca is going to raise health care costs monumentally. >> that's not a budget -- >> yes it is. >> reduce costs for consumers and cut the budget deficit by 1 $180 billion. what's the base of your projection? you're pulling it out of the air. >> no, i'm not. the congressional budget office keeps making costs increase from what they originally projected. now that various individual plans and firms are costing out what they're going to have to do, you're saying far more firms are going to be not covering people. this plan was conceived in a way that didn't understand the economic consequences. >> just to the clarify, the aca, obama care. >> yes. the affordable care act. >> basically protects -- >> anything but protect patients or be affordable. it is orwellian. >
recovery. in terms of health care costs related to the aca, while most business leaders that we have spoken to have said is they understand we needed to do something. small-business owners are impacted disproportionately by rising health-care costs. the current health c arpl work for them less well thanlarg companies because they don't have buying power. if you look at some of the reforms, you see a number of efforts to try to reduce costs for small businesses to, like creating exchanges, for example. small in 2011, small businesses paid 25% more for insurance than large companies. the exchange is meant to help small business. you are right. with the new regulations set to take effect in a couple of years, it is another reason to be careful and protect small businesses from tax increases. what the obama people will tell you is that they have cut taxes for small business 17 times and 90% of the small businesses in america would not be effected by higher individual taxes. host: here is "the miami herald" this morning. pennsylvania. independent caller. caller: he said it earlier when they go t
to bring the a.c.a. back into the negotiations for some is wild read. you still see the same kind of intrancy generals. wait a minute, who won this election? this mandate is mine. i earned it. 3% i won a national vote by 3% which in modern times is a landslide. we won seats in the senate. we took seats in the house. >> the house, if there were no part in the jerry man derring, that's as important as energizing the base and getting some move in social media. >> at the same time, they have to get a number of votes. they need 218 votes in the house. part of the art of washington politics is giving your opponents something to run against you in the next election. >> what they have to give house republicans is something they can take back to these very conservative jerry man der districts. it is not as if most people are running in swing districts. most are running in hard right districts where they can get a primary challenge. the reason you are hearing boehner ask what are you going to cut? they want the president to put some ideas on the table. all of the bad ideas, they are all com
the economic recovery. in terms of health care costs related to the aca, while most business leaders that we have spoken to have said is they understand we needed to do something. small-business owners are impacted disproportionately by rising health-care costs. the current health care plans work for them less well than they do for larger companies because they don't have buying power. if you look at some of the reforms, you see a number of efforts to try to reduce costs for small businesses to, like creating exchanges, for example. small businesses in 2011 paid about 25% more for health care insurance than large companies. you are right. with the new regulations set to take effect in a couple of years, it is another reason to be careful and protect small businesses from tax increases. what the obama people will tell you is that they have cut taxes for small business 17 times and 90% of the small businesses in america would not be effected by higher individual taxes. host: here is "the miami herald" this morning. pennsylvania. independent caller. caller: he said it earlier when they go to wa
it means to take two cases in this way at the same time? we know from the aca decision that justice roberts cares deeply about his legacy and the legacy of the court. how do we read that into this discussion? is he going to want to be part of a decision stripping rights away from people, and then he looks into the future and he's in a case like people look back and say he was the chief justice when they took rights away from millions of americans. >> reporter: we can read nothing into any specific justice's thinking about the fact they took up the defense of marriage act. that was a foregone conclusion. whenever you have federal courts that happened here, striking down an account of congress saying it's unconstitutional, the fact the supreme court would agree to hear the case was a given. the surprise here is they've agreed to take the prop 8 case from california because i think it's believed among some folks following this case that look at it this way. if you're conservative members of the court and you believe this is wrongly decided -- remember the appeals court decision below said prop
. perhaps he will vote with the liberals. and i also look optimistically at justice roberts who in the aca decision shows us he cares about the court's legacy. he doesn't want to be part of a decision that later people look book on and say he was part of taking away people's liberty. right now i am not optimistic about what this court will do. >> we've had one optimistic, one pessimistic. michelle, don't i dare sit on the fence. >> no, no. i'm off the fence. okay. i will say i agree that the court's composition should make some people nervous but i think the timing, they just had gay marriage wins at the ballot box and there has been a sea change among the electorate on this issue and it would be a little bit troublesome for the court to then at this point step in and say, no, no, we know the country is moving in this direction but we're going to stop you. >> indeed, michelle, you have actually written yourself that the president's base in a second term wants the repeal of the defense of marriage act. you've written that yourself. >> they think it's time, and they think that they've had en
. the attention now needs to be on medicare inside the aca. there were large structural reforms in the way healthcare was playing out. in fact, last year, we had a slower rate of growth and health care spending that we have had in quite a time. whether president has proposed is part of the current negotiations is another $300 billion cut in medicare. stuart: that is a cut. you do understand, that what we really -- >> stuart, that just is not true. we have not seen them play out. certainly, we will have to be coming back every year. usually, through a committee process where people vote at the end of the day. the republicans decided to take another course around the debt ceiling. i do not agree with you. i think to say otherwise is unfair to the president. stuart: i will have the last word. he is a hypocrite. let's not get into it now. you study up on that one, young simon. thank you very much. several states want longer school days. surprise, surprise, the unions are against it. that is next. ♪ only gaviscon® forms a protective barrier that helps block stomach acid from splashing up- re
that you have the aca, that you can have this discussion in a way that was much harder to have before. it is really a way of saying for those who are able to continue working, can we begin to reorient the expectation for the next generation which is what we're talking about, recognizing that for people who are in that pre, now premedicare age, they will no longer have to postpone taking care of health care because they, in fact, have an option. so it is why this discussion takes on a whole different tone as a result of the affordable care act having been passed. >> i mean, i would say we have options, but we don't know if they're affordable options, and that's really the big difference. >> al milliken, am media. what can we learn from other countries? i'm wondering if any of you have studied the health benefit programs elsewhere, and do any have comparable insurance programs, and what has been the experience in other nations? >> most of them are struggling mightily with the promises they are made which encourage people to e retire even earlier tan they do in the united states -- than
of instructive closure. i was with him in aca aca laska- he gave one of the most amazing tributes i had ever heard. i made him promise that he would teach me how to speak like that. [laughter] he said, what do you mean, chaplain? i said i want your eloquence of diction, i want your brilliance of metaphor, i want your poetry of imagination, and he smiled and dis missed my request. i had the opportunity of reminding him at walter reid that he still had unfinished work to do with me, please. i still need your help. i was blessed to be able to hold his hand. i was blessed to be able to recite the scriptures, and the last passage that i recited before he transitioned from time in to eternity, is the passage with words that have been whispered by more people in trouble, spoken in more hospital rooms, uttered by more dying lips, and than perhaps any other words in scripture. the 23rd osama bin laden. i-- psalm was standing bind you. the lord is my shepard, i shall not want. he makes me lie down in green pastures, he leads me beside still waters, he restores my soul. he leads me in the path of right
't aca republican offer to cappadocians and bring in a lot more money? why are they insisting on actual rate increase although the other side hates the rate increase worse? >> the democrats are convinced they win the election white house because they want the top rate to go higher. that is a concession that is mandatory for political cosmetic reasons. dennis: are you at all concerned john boehner has made this new concession, let's lift rates without still anything in the way of specific spending cuts, does that bother you? >> there has to be a change, more names i medicare recipients and there probably is going to be out in the distance higher eligibility age may be going up by two years. he has to sell it to his caucus. i would be a little surprised they announced a final deal in the next half an hour because he has to meet with his troops. a lot of them will have to swallow hard to raise rates. dennis: republicans seem to be getting all the blame if we go over the cliff. what you can do two or three most important things to avoid, what do you have to fix ahead of time? >> you have to
. we are trying to do that. implementing the aca is important in terms of delivery reforms. it pays doctors differently. it rewards quality. we should do that sooner than later. save those dollars sooner. in those discussions, are there other ways that we can see revenues come in from within the health-care system? that is on the table. i am not keen on increasing the age on medicare. we have gone through a really big debate about finding a way to have all americans have health insurance. that is taking a group of americans and figure out how they afford health coverage. that shifts the costs of subsidies and they go into the exchange. does makes it more expensive for younger people because the older cohort is in that group? for medicare, these are the least expensive seniors we have. the most expensive seniors are much older. you have to look exactly at the consequences and whether that is cost savings for government and families? >> the president had a firm statement this week to the business roundtable about the debt ceiling where he said, i will not play that game. he will not n
their own extremist needs. last week we designated on the front of the ail yes, sir of aca i which is already listed as a foreign terrorist terrorist organization. as they try to wrap themselves in the legitimate sei of the we called it a warning to support the opposition to the syrian people and not help the terrorist group. to add to the list of new challenges, in west africa the loosely organized of collection of factions who have some ties to -- public sympathy. the number in sophistication to the attacks increasing and while the group focusing principally on local nigeria issues -- iranian revolutionary guard and teheran's ally hezbollah. in addition to the critical support that hezbollah are providing for serious assad regime, over the past year, there's been a significant escalation in iranian-backed terrorism. hezbollah's activity has reached an tempo unseen since the 1990s with the attacks plottedded in southeast asia, europe, and calf with a. it appears they carried out an attack in bull gear ya with the airport bombing in july. the forces saw to attack in georgia, india,
will lose access to critical health services covered in the a.c.a. like cancer screenings. and the last step is to go after another favorite g.o.p. target and that's social security. house republicans have only one to protect and that's the wealthiest americans. it couldn't be more obvious. i yield back the balance of my time. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman from wisconsin. mr. ryan: i yield three minutes to the chairman of the commerce committee, mr. upton. the speaker pro tempore: the gentleman from michigan. up up -- mr. upton: we work to get our $16 trillion national debt under control and we put us on a path towards a more solemn fiscal future. the spending reduction act of 2012, we identified key areas to reduce spending to replace the sequester and without this thoughtful balanced package of savings, in two weeks, the sequester is going to cut discretionary spending while shielding the lion's share of the government's budget from reduction. critical priorities such as important cancer research at the n.i.h. and review of budget
intermediate deficit problem and implementation of the cost saving measures strengthened over time in the aca will deal with their long-term health care problem. so we are not that far away and we have other tremendous strengths in our country that would allow us to make the kind of investment to transform the economy, to do with the reality of stagnant wages and a sense of diminished opportunities. we have strengths. we can do it. we need the public to rain and behavior that's destructive and we need political leaders to act forcefully. given enough to bipartisan commissions and searched enough for bipartisan consensus. for sensible hard all politics along these lines. >> norm, i particularly cutie take the money question. a couple political had a great shared that showed that party polarization in congress was directly correlated with increasing concentrations of wealth from increasing equality went together artisan polarization. and the money question you can handle so many different ways. i'm really concerned about it posed citizens united system with a federal election commission that's
gone too far? i personally think my position on a.c.a. is a good position and protecting the people's right to know is a high priority. >> what have you decided to do with all your papers and years in congress? >> that is an important question. i'm pleased to say that my alma mater at ucla is taking some interest. hopefully, some of that work will be of value to researchers sometime out there. >> you have expressed optimism and interest of what your future might hold but it has to be difficult leaving this institution after so many years. this has been most of your adult life, your way of life. how are you using these last few weeks here, still as a voting member of congress? is the experience -- does it feel different saying this might be the last time i will do this? >> i was looking at my cad and wondering how many more votes i have left. if i thought this was the end of impacting public affairs i would be very nostalgic. we're looking at it as another chapter in life -- the book of life that we look forward to. >> do you plan to make a good- bye speech on the floor? >> i said a
of 2010, the congressional budget office was projecting out some savings because of the a.c.a. but they were figuring about 4% per capita growth, again as you pointed out this chart now shows we're down to 2%. so they've been revising their estimates over the last two years and the net savings, the recalculation just in the last two years has been hundreds of billions of dollars of lower expenditure than they had first thought was going to be the case. when you compare that magnitude of savings with, for example, raising the eligibility age to 67, i mean, they're dwarfed. it is really just a small portion of what efficiencies in the system are capable of producing. and the fact of the matter is that raising the eligibility age, i mean, there's no free lunch. the fact is that even though these are people that willing challenged in the private insurance market, 65 and 66 are still the healthiest population within the medicare pool. so the ones who remain in medicare, their part b premiums are going to go up and that's not just me saying it, it's the keiser family foundation who
, of course, think obama care is terrible. if you're a shareholder in aca, or want to be one, you should be applauding obama care. i think this is a deal you probably want to be in. >> yeah, it is interesting, the for-profit hospital companies have done quite well under the affordable care act. >> just a quick note, trip adviser open for trade, up by 11%. as you mentioned, david, not as high as liberty is paying for the shares. but it sa nice close -- >> a real vote of confidence from john malone who runs liber liberty. >> again, trip adviser up to 59.5 right now. delta airlines buying a stake in virgin atlantic. the most interesting aspect of the story is the wager between richard branson and willy walsh, let's say it's below the belt. we'll have the details coming up next. and richard anderson, plus a gadget lover's delight for the holidays. a live interview with the ceo of brookstone. bob, these projections... they're... optimistic. productivity up, costs down, time to market reduced... those are good things. upstairs, they will see fantasy. not fantasy... logistics. ups came in, anal
at the internet and say do we have to draw lines here? have we gone too far? i personally think my position on a.c.a. is a good position and protecting the people's right to know is a high priority. >> what have you decided to do with all your papers and years in congress? >> that is an important question. i'm pleased to say that my alma mater at ucla is taking some interest. hopefully, some of that work will be of value to researchers sometime out there. >> you have expressed optimism and interest of what your future might hold but it has to be difficult leaving this institution after so many years. this has been most of your adult life, your way of life. how are you using these last few weeks here, still as a voting member of congress? is the experience -- does it feel different saying this might be the last time i will do this? >> i was looking at my cad and wondering how many more votes i have left. if i thought this was the end of impacting public affairs i would be very nostalgic. we're looking at it as another chapter in life -- the book of life that we look forward to. >> do you plan to make
Search Results 0 to 26 of about 27 (some duplicates have been removed)